Healthcare Provider Details

I. General information

NPI: 1548187784
Provider Name (Legal Business Name): ANDREA MONIQUE ABRAMSON RN, CNS, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71777 SAN JACINTO DR STE 101G
RANCHO MIRAGE CA
92270-4457
US

IV. Provider business mailing address

44311 PALO VERDE ST
LANCASTER CA
93536-6258
US

V. Phone/Fax

Practice location:
  • Phone: 760-568-1234
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number95038574
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: